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LH Chapter 17 FL Manual

Quiz by Brian Morton

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6 questions
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  • Q1
    The miscellaneous expense benefit in a basic hospital expense policy normally will cover
    Physicians’ bedside visits
    Hospital room and board
    Drugs and medicine administered in the hospital
    The administering of anesthesia
    60s
  • Q2
    Which of the following statements about deductible provisions in medical insurance policies is NOT correct?
    They are most common in basic medical expense policies
    They help eliminate small claims
    The provide that initial expenses up to a specified amount are to be paid by the insured
    They help hold down premium rates
    60s
  • Q3
    An insured has a basic hospital/surgical expense policy, which provides benefits of $50 per day for up to 30 days of hospitalization and $750 for miscellaneous charges. It bases its surgical benefits on a schedule approach. The insured is hospitalized for a severely broken leg that requires surgery. The surgical procedure has been assigned $500 by the policy, though the customary charge in the area is $600. The insured incurs the following expenses: • $80 per day for seven days hospital charge • $675 for the surgical procedure • $800 for miscellaneous expenses The insured’s policy will pay
    $1,600
    $1,810
    $2,035
    $1,700
    120s
  • Q4
    Wilbur’s basic medical expense policy limits the miscellaneous expense benefit to 20 times the $90 daily room and board benefit. During his recent hospital stay, miscellaneous expenses totaled $2,100. How much, if any, of this amount will Wilbur have to pay?
    $0
    $300
    $2,100
    $210
    60s
  • Q5
    All of the following are types of deductible provisions associated with major medical policies EXCEPT
    Stop-loss
    Integrated
    Corridor
    Flat
    60s
  • Q6
    If the coinsurance feature in a major medical insurance policy is 75/25 with a $100 deductible, how much of a $2,100 bill would the insured pay?
    $100
    $600
    $1,500
    $500
    120s

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